KEGAWATDARURATAN

KARDIOLOGI
 Krisis
Hipertensi
Patofisiologi

• Cholesterol
• Trombin
• Agregasi Platelet

Vogel, Birgit, et al. "ST-segment elevation myocardial

infarction." Nature reviews Disease primers 5.1 (2019): 1-20.
Bakris, G., Ali, W., & Parati, G. (2019). ACC/AHA versus ESC/ESH on hypertension guidelines: JACC
guideline comparison. Journal of the American College of Cardiology, 73(23), 3018-3026.
Bakris, G., Ali, W., & Parati, G. (2019). ACC/AHA versus ESC/ESH on hypertension guidelines: JACC
guideline comparison. Journal of the American College of Cardiology, 73(23), 3018-3026.
KRISIS HIPERTENSI

• TEKANAN DARAH > 180/110 mmHg

 MEMICU KERUSAKAN ORGAN
JANTUNG, OTAK DAN PEMBULUH
DARAH
• TANDA-TANDA KERUSAKAN TARGET
ORGAN  KRISIS HIPERTENSI
• TANPA KERUSAKAN TARGET ORGAN
 HIPERTENSI URGENSI N Engl J Med 2019;381:1843-52.
ALGORITMA

N Engl J Med 2019;381:1843-52.

N Engl J Med 2019;381:1843-52.
ACUTE CORONARY SYNDROME

unstable angina (UA) to non–ST segment elevation

ST segment elevation myocardial infarction (STEMI)

myocardial infarction (NSTEMI)

DIAGNOSIS BANDING NYERI DADA
UNSTABLE ANGINA PECTORIS
 TANPA DISTRESS

TIDAK NYAMAN KARENA ANGINA

PEMERIKSAAN PUCAT, CYANOSIS

FISIK SESAK NAFAS

DISRITMIA

TEKANAN DARAH NORMAL,HIPO/HIPERTENSI

UAP RISK
RATIO
ECG
• The standard 12-lead ECG is the
single best test
• INTERPRETASI MAKS 10 MENIT
(Tintinally, 8th ed, ch. ACS)
ST
ELEVASI
ST DEPRESI
TERAPI UAP/NSTEMI
TERAPI STEMI
KONTRAINDIKASI
FIBRINOLYTIC
DYSRHYTMIA
1 ST DEGREE AV BLOCK
2 ND DEGREE AV BLOCK
2 ND DEGREE AV BLOCK
3 RD DEGREE AV BLOCK